We had been waiting for this day for years — the day our hospital in San Francisco would shed its antiquated electronic health records system in favor of a more modern alternative called Epic, which has been, or will soon be, adopted by many of the nation's top medical centers.
Our hospital was full of strangers in turquoise T-shirts, called Epic Superusers, who provided "at the elbow support" for the staff, there to usher in the "death of the legacy system" (as the administrators' emails put it) and the birth of a new, well, epoch.
But on a recent Monday morning when I logged into so-called Epic Hyperspace for the first time, I was greeted with a pop-up box and an urgent message: "You currently have deficiencies that are either delinquent or will become delinquent within one week. Please complete at your earliest convenience."
I blinked. The words on my monitor were thick and black on a background of rich mustard yellow. On the left side of the message was an exclamation point inside a circle. Today was my first day using Epic. Had I already done something wrong?
More …
https://www.nytimes.com/2019/11/01/health/epic-electronic-health-records.html
Monday, November 11, 2019
Chronic Pain Eased With Meditation And Lower Doses Of Opioids : Shots - Health News : NPR
There's new evidence that mind-body interventions can help reduce pain in people who have been taking prescription opioids — and lead to reductions in the drug's dose.
In a study published this month in JAMA Internal Medicine, researchers reviewed evidence from 60 studies that included about 6,400 participants. They evaluated a range of strategies, including meditation, guided imagery, hypnosis and cognitive behavioral therapy.
"Mindfulness, cognitive behavioral therapy and clinical hypnosis appear to be the most useful for reducing pain," says study author Eric Garland, a professor at the University of Utah. The reductions in dose were modest overall, he says, but the study is a signal that this approach is beneficial.
More ...
https://www.npr.org/sections/health-shots/2019/11/11/743065892/meditation-reduced-the-opioid-dose-she-needs-to-ease-chronic-pain-by-75
In a study published this month in JAMA Internal Medicine, researchers reviewed evidence from 60 studies that included about 6,400 participants. They evaluated a range of strategies, including meditation, guided imagery, hypnosis and cognitive behavioral therapy.
"Mindfulness, cognitive behavioral therapy and clinical hypnosis appear to be the most useful for reducing pain," says study author Eric Garland, a professor at the University of Utah. The reductions in dose were modest overall, he says, but the study is a signal that this approach is beneficial.
More ...
https://www.npr.org/sections/health-shots/2019/11/11/743065892/meditation-reduced-the-opioid-dose-she-needs-to-ease-chronic-pain-by-75
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